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Hospitals are required to distribute patient satisfaction surveys under the Affordable Care Act, aimed at gathering data on patient perspectives to enable meaningful comparisons between facilities. These surveys help hospitals enhance their quality of care, accountability, and transparency, as results can be publicly reported. While the data can benefit hospitals, it may also lead to negative financial implications. Higher HCAHPS scores can result in increased reimbursements. To boost these scores and improve internal quality initiatives, a comprehensive approach is essential, involving all personnel who interact with patients, not solely nurses or providers.